How much rates vary
Facilitymedian $4,266 · 10th to 90th $2,692 to $4,677Professionalmedian $251 · 10th to 90th $138 to $575
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $138.04 Median $147.91 Typical High $323.59 | Facility | None | $138.04 | $147.91 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $251.19 Typical High $323.59 | Professional | None (both parts) | $147.91 | $251.19 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $147.91 Typical High $190.55 | Professional | 26 · Professional part | $87.10 | $147.91 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $104.71 Typical High $131.83 | Professional | TC · Technical part | $60.26 | $104.71 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $123.03 | Professional | 26 · Professional part | $95.50 | $95.50 | $123.03 |
BCBS Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,677.35 | Facility | None | $4,265.80 | $4,265.80 | $4,677.35 |
BCBS Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $575.44 | $575.44 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $2,570.40 Typical High $4,466.84 | Facility | None | $302.00 | $2,570.40 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $257.04 Typical High $549.54 | Professional | None (both parts) | $134.90 | $257.04 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $83.18 Typical High $165.96 | Professional | 26 · Professional part | $67.61 | $83.18 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $169.82 Typical High $426.58 | Professional | TC · Technical part | $57.54 | $169.82 | $426.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $128.82 | Professional | None (both parts) | $33.11 | $33.11 | $128.82 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $5,754.40 Typical High $6,456.54 | Facility | None | $3,981.07 | $5,754.40 | $6,456.54 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $199.53 Typical High $741.31 | Professional | None (both parts) | $151.36 | $199.53 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $87.10 Typical High $138.04 | Professional | 26 · Professional part | $48.98 | $87.10 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $112.20 Typical High $562.34 | Professional | TC · Technical part | $69.18 | $112.20 | $562.34 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $125.89 Typical High $162.18 | Professional | 52 · Reduced service | $74.13 | $125.89 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $50.12 Typical High $64.57 | Professional | 53 · Discontinued | $29.51 | $50.12 | $64.57 |
Where Mississippi sits
The same service costs 5.1 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Mississippi· 24th of 51
$251
AK $513UT $100
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.